Margaret AWinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
In Reply: Dr Foucar and Dr Volpintesta acknowledge
the challenges clinicians face in managing increasing capacity in health care.
We agree with Foucar's suggestion that flawed pathologic classification systems
contribute to the increasing incidence of pseudodisease. The language used
to describe clinical state and pathological findings plays a major role in
determining how patients and clinicians will respond. In the absence of a
classification system that accounts for the full spectrum of disease, language
may remain more of a hindrance than a help to wise decision making.
Fisher ES, Welch HG. Advances in Medical Care: Promise, Problems, and Proper Application—Reply. JAMA. 1999;282(10):938-939. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-10-jbk0908